1 | Page
3 | UWorld NCLEX-PN Questions
and Answers Latest 2026
The nurse is preparing to change a central venous
catheter dressing using a chlorhexidine gluconate (CHG)-
impregnated patch and transparent adhesive dressing.
Place the procedural steps in the correct order. All
options must be used.
1. Apply CHG patch over catheter insertion cite and cover
with a sterile transparent dressing
2. Cleanse the site with CHG for at least 30 seconds using
friction; allow to air-dry completely
3. Discard the clean gloves perform hand hygiene, and
apply sterile gloves
4. Perform hand hygiene, don face mask, place a mask on
the client, and apply clean gloves
5. Remove old dressing and CHG-impregnated patch;
inspect insertion site Ans: CORRECT ANSWER: 4, 5, 3, 2, 1
Central line dressing changes are sterile procedures and
must be performed correctly to prevent infection. Steps
should be performed in the following order:
• Perform meticulous hand hygiene.
© 2025 All rights reserved
, 2 | Page
• Don a surgical mask and apply a mask to the client (or
ask the client to turn the head away from the dressing).
Apply clean gloves (Option 4).
• Remove the old dressing, including the chlorhexidine
gluconate (CHG) - impregnated patch, making sure not to
touch the insertion site (Option 5).
• Inspect the site for drainage, erythema, heat, or
inflammation.
• Discard the clean gloves, perform hand hygiene, and
apply sterile gloves (Option 3).
• Cleanse the site with antimicrobial solution (eg, CHG),
in a back-and-forth motion using friction, for at least 30
seconds; allow to air-dry completely (Option 2).
• Apply the CHG-impregnated patch over the catheter
insertion site and cover with the sterile transparent
dressing (or use a CHG gel transparent dressing), making
certain the edges of the dressing adhere well (Option 1).
• Sign, date, and initial the dressing.
• Document the procedure.
The nurse caring for a client who had a femoral
angioplasty finds the client's leg pale, cool, and pulseless.
The nurse calls the health care provider at 2 AM, and the
HCP begins to yell at the nurse, stating, "I'm sick and
tired of you calling me in the middle of the night!" What
is the best response by the nurse?
© 2025 All rights reserved
, 3 | Page
1. "I'm concerned that this client may lose a leg unless
something is done immediately."
2. "I'm sorry to bother you. Is there someone else you'd
like me to call?"
3. "It's my job to report critical findings, just like it's your
job to come see my client right now."
4. "Yelling is unprofessional. I'll need to file a report with
my supervisor once the client is stable." Ans: CORRECT
ANSWER: 1
The stress of bullying and workplace violence impairs
clinical judgment and creates an unsafe environment for
clients. In response to unprofessional conduct, the nurse
should shift the focus of the conversation back to the
client's needs, especially in situations that may result in
client injury Option 1 is correct).
(Option 2 is wrong) Offering to call a different provider
fails to address the urgency of the situation. The priority
is for the nurse to advocate for the client's needs, as the
client is experiencing a serious limb-threatening
postsurgical complication.
(Option 3 is wrong) Confrontational statements are more
likely to provoke a fight rather than result in appropriate
intervention for the client.
(Option 4 is wrong) Incidents of bullying and workplace
violence should be reported to a nursing supervisor, but
© 2025 All rights reserved
, 4 | Page
the priority is to ensure that the client's needs are
addressed.
The nurse is caring for a client with multiple renal calculi.
Which of the following interventions should the nurse
anticipate? Select all that apply.
1. Administer analgesics at regularly scheduled intervals
2. Encourage fluid intake of up to 3 L/day
3. Instruct client to stay on bed rest
4. Provide massage to the client's flank
5. Strain all urine for the presence of stones Ans:
CORRECT ANSWER: 1, 2, 5
The formation of renal calculi (ie, kidney stones) can be
due to various factors (eg, family history, dietary
imbalances, immobilization, dehydration). Manifestations
include sudden, severe abdominal or flank pain and
nausea/vomiting. Client management focuses on
analgesics administered at regularly scheduled intervals,
rehydration of up to 3 L/day unless contraindicated by
other comorbidities, and ambulation to facilitate the
passage of calculi (Options 1 and 2 are correct).
To retrieve stones that the client may pass, the nurse
should strain all urine obtained (Option 5 is correct). The
collected stones are analyzed to determine their
composition (eg, calcium oxalate, calcium phosphate,
struvite, uric acid, cystine), which can then direct
© 2025 All rights reserved
3 | UWorld NCLEX-PN Questions
and Answers Latest 2026
The nurse is preparing to change a central venous
catheter dressing using a chlorhexidine gluconate (CHG)-
impregnated patch and transparent adhesive dressing.
Place the procedural steps in the correct order. All
options must be used.
1. Apply CHG patch over catheter insertion cite and cover
with a sterile transparent dressing
2. Cleanse the site with CHG for at least 30 seconds using
friction; allow to air-dry completely
3. Discard the clean gloves perform hand hygiene, and
apply sterile gloves
4. Perform hand hygiene, don face mask, place a mask on
the client, and apply clean gloves
5. Remove old dressing and CHG-impregnated patch;
inspect insertion site Ans: CORRECT ANSWER: 4, 5, 3, 2, 1
Central line dressing changes are sterile procedures and
must be performed correctly to prevent infection. Steps
should be performed in the following order:
• Perform meticulous hand hygiene.
© 2025 All rights reserved
, 2 | Page
• Don a surgical mask and apply a mask to the client (or
ask the client to turn the head away from the dressing).
Apply clean gloves (Option 4).
• Remove the old dressing, including the chlorhexidine
gluconate (CHG) - impregnated patch, making sure not to
touch the insertion site (Option 5).
• Inspect the site for drainage, erythema, heat, or
inflammation.
• Discard the clean gloves, perform hand hygiene, and
apply sterile gloves (Option 3).
• Cleanse the site with antimicrobial solution (eg, CHG),
in a back-and-forth motion using friction, for at least 30
seconds; allow to air-dry completely (Option 2).
• Apply the CHG-impregnated patch over the catheter
insertion site and cover with the sterile transparent
dressing (or use a CHG gel transparent dressing), making
certain the edges of the dressing adhere well (Option 1).
• Sign, date, and initial the dressing.
• Document the procedure.
The nurse caring for a client who had a femoral
angioplasty finds the client's leg pale, cool, and pulseless.
The nurse calls the health care provider at 2 AM, and the
HCP begins to yell at the nurse, stating, "I'm sick and
tired of you calling me in the middle of the night!" What
is the best response by the nurse?
© 2025 All rights reserved
, 3 | Page
1. "I'm concerned that this client may lose a leg unless
something is done immediately."
2. "I'm sorry to bother you. Is there someone else you'd
like me to call?"
3. "It's my job to report critical findings, just like it's your
job to come see my client right now."
4. "Yelling is unprofessional. I'll need to file a report with
my supervisor once the client is stable." Ans: CORRECT
ANSWER: 1
The stress of bullying and workplace violence impairs
clinical judgment and creates an unsafe environment for
clients. In response to unprofessional conduct, the nurse
should shift the focus of the conversation back to the
client's needs, especially in situations that may result in
client injury Option 1 is correct).
(Option 2 is wrong) Offering to call a different provider
fails to address the urgency of the situation. The priority
is for the nurse to advocate for the client's needs, as the
client is experiencing a serious limb-threatening
postsurgical complication.
(Option 3 is wrong) Confrontational statements are more
likely to provoke a fight rather than result in appropriate
intervention for the client.
(Option 4 is wrong) Incidents of bullying and workplace
violence should be reported to a nursing supervisor, but
© 2025 All rights reserved
, 4 | Page
the priority is to ensure that the client's needs are
addressed.
The nurse is caring for a client with multiple renal calculi.
Which of the following interventions should the nurse
anticipate? Select all that apply.
1. Administer analgesics at regularly scheduled intervals
2. Encourage fluid intake of up to 3 L/day
3. Instruct client to stay on bed rest
4. Provide massage to the client's flank
5. Strain all urine for the presence of stones Ans:
CORRECT ANSWER: 1, 2, 5
The formation of renal calculi (ie, kidney stones) can be
due to various factors (eg, family history, dietary
imbalances, immobilization, dehydration). Manifestations
include sudden, severe abdominal or flank pain and
nausea/vomiting. Client management focuses on
analgesics administered at regularly scheduled intervals,
rehydration of up to 3 L/day unless contraindicated by
other comorbidities, and ambulation to facilitate the
passage of calculi (Options 1 and 2 are correct).
To retrieve stones that the client may pass, the nurse
should strain all urine obtained (Option 5 is correct). The
collected stones are analyzed to determine their
composition (eg, calcium oxalate, calcium phosphate,
struvite, uric acid, cystine), which can then direct
© 2025 All rights reserved
